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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Spatial Access to Primary Care Providers in Appalachia Evaluating Current Methodology
Determines the spatial access to primary care physicians and compares access to care between urban and rural Appalachian counties in Pennsylvania, Ohio, Kentucky, and North Carolina.
Author(s): Joseph Donohoe, Vince Marshall, Xi Tan, et al.
Citation: Journal of Primary Care and Community Health, 7(3), 149-158
Date: 07/2016
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The Texas Mental Health Workforce: Continuing Challenges and Sensible Strategies
Policy brief featuring a report on the mental healthcare workforce in Texas, including a comparison of rural and urban counties. Discusses barriers to workforce expansion and strategies for drawing more mental health providers to the state.
Date: 07/2016
Sponsoring organization: Hogg Foundation for Mental Health
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Integrated Care in a Frontier Community
Examines the Southeast Health Group (SHG) in La Junta, Colorado, which coordinates physical and behavioral health using patient-centered, wellness-based care coordination to empower patients and promote self-directed care. Focuses on hiring providers who share SHG's philosophy of care, using community resources, and engaging peer support specialists.
Date: 07/2016
Sponsoring organization: Rural Health Value
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Families in Crisis: The Human Service Implications of Rural Opioid Misuse
Presents findings and policy recommendations from the National Advisory Committee on Rural Health and Human Services' 2016 meeting with rural residents, healthcare providers, and stakeholders regarding the impact and effects of opioid use disorders on rural families. Topics addressed include drug overdose and death, conflict with partners and children, emotional disturbance, adverse health risks, and related impacts on employment and economic sustainability.
Date: 07/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Alternative Models to Preserving Access to Emergency Care
Explores proposals for maintaining timely access to emergency and other basic healthcare services in rural communities that may not be able to support a full-service hospital, including frontier extended stay clinics and free-standing emergency departments. Identifies models of care and various ideologies for the Secretary and the Department of Health and Human Services to consider when evaluating policy options.
Date: 07/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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What Works? Strategies to Improve Rural Health
A guide for rural community health improvement. Explains how to find strategies that are likely to be effective. Identifies interventions related to health behaviors, healthcare access and quality, social and economic factors, and the physical environment.
Date: 07/2016
Sponsoring organization: County Health Rankings & Roadmaps
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Social Factors Affecting Pediatric Oral Health in North Dakota
Presents the findings of surveys given to North Dakota children and youth in grade school through high school to determine their knowledge of, and resources to practice, good oral hygiene. Results were tabulated by race and address disparities in the frequency of brushing, the consumption of sugary beverages, and access to oral healthcare supplies.
Author(s): Shawnda Schroeder
Date: 07/2016
Sponsoring organization: University of North Dakota Center for Rural Health
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A Look at Rural Hospital Closures and Implications for Access to Care: Three Case Studies
Presents case studies of three rural hospital closures from 2015 in Kansas, Kentucky, and South Carolina. Explores impact of closures on access to care and the economy of local communities.
Author(s): Jane Wishner, Patricia Solleveld, Robin Rudowitz, Julia Paradise, Larisa Antonisse
Date: 07/2016
Sponsoring organization: KFF
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Providing Cardiology Care in Rural Areas Through Visiting Consultant Clinics
Examines impact of cardiology outreach clinics in 96 predominantly rural Iowa cities in 2014. Includes a map showing clinic sites and a table of mean one-way travel times with breakdowns by urban area, large rural city, small rural town, isolated rural town, and all rural census tracts.
Author(s): Thomas S. Gruca, Tae-Hyung Pyo, Gregory C. Nelson
Citation: Journal of the American Heart Association, 5(7)
Date: 06/2016
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Breaking the Barriers to Specialty Care: Practical Ideas to Improve Health Equity and Reduce Cost
Collection of briefs focused on how to improve access to specialty care for rural and low-income patients. Discusses telehealth, developing primary care capacity to provide appropriate specialty care, and coordinated specialist networks as approaches to improve specialty care access. Free, but registration required to download.
Date: 06/2016
Sponsoring organizations: Bristol-Myers Squibb Foundation, FSG
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